Provider Demographics
NPI:1154515781
Name:RABOT-CURA, LEDA MAE T (MD)
Entity type:Individual
Prefix:DR
First Name:LEDA MAE
Middle Name:T
Last Name:RABOT-CURA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LEDA MAE
Other - Middle Name:T
Other - Last Name:RABOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1115 SE 164TH AVE DEPT 358
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-8004
Mailing Address - Country:US
Mailing Address - Phone:360-729-1462
Mailing Address - Fax:360-729-3104
Practice Address - Street 1:1515 VILLAGE DR STE 220
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:OR
Practice Address - Zip Code:97424-9700
Practice Address - Country:US
Practice Address - Phone:541-767-5200
Practice Address - Fax:541-767-5353
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7546208000000X
ORMD178541208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics